title: A focus on heart failure.
abstract: Heart failure patients account for a hefty proportion of readmissions, so hospitals are refining their discharge processes, boosting education for patients and caregivers, and sending community health workers to their homes.
authors.forename: Geri
authors.initials: G
authors.lastname: Aston
mesh_terms: D003266:Continuity of Patient Care / Q000458:organization & administration* / Q000592:standards / Q000639:trends; D003324:Coronary Artery Disease / Q000150:complications; D048909:Diabetes Complications; D018450:Disease Progression; D006333:Heart Failure / Q000191:economics / Q000453:epidemiology / Q000517:prevention & control / Q000534:rehabilitation; D006801:Humans; D006973:Hypertension / Q000150:complications; D015994:Incidence; D006278:Medicare / Q000191:economics* / Q000331:legislation & jurisprudence / Q000639:trends; D010359:Patient Readmission / Q000191:economics* / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D012307:Risk Factors; D014481:United States / Q000453:epidemiology